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This thesis discusses the relatively new concept of sexual self-harm. The study presents earlier research that relate to self-harm in general and risk behavior among youth. Six interviews were conducted with both specialists in sexological problems and with counselors. The study aimed to look closely at the definitions of sexual self-harm, and the values surrounding gender and good versus destructive sexuality that they convey. The material was thematized and analyzed using queer theory and sexological theory. In our results we identified eight potential criteria for sexual self-harm, some of which highlighted the function of using sex in order to handle anxiety and as degradation of oneself. Our informants conveyed a certain ambivalence regarding how good versus destructive sexuality is expressed. The study could also identify an invisibility of boys' vulnerability regarding selling sexual services. The results further showed that what makes sexual self-harm unique is that the individual hands over power over him-or-herself to other people, and that the individual in the treatment context shouldn’t be encouraged to abstain completely from sex. The conclusion marks the importance of allowing the young person to formulate his or her problem. More research in this area is needed and discussions should be held on how the field of social work can best support young people in their sexual development.